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Is there any regulation that requires Transfusion Services to have a massive transfusion protocol? My hospital system has two facilities- one is a trauma center with a very active MTP that works great. The other hospital is much smaller and in theory does not accept any trauma patients. I found a mini MTP policy at the smaller facility today- it basically states exactly the same thing as the normal Uncrossmatched policy does. The only reason I can think of why this mini policy exists is because some regulating agency says so.